Provider Demographics
NPI:1922394774
Name:STRANGLEN, ANITA ANN (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:ANN
Last Name:STRANGLEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-3327
Mailing Address - Country:US
Mailing Address - Phone:402-292-3628
Mailing Address - Fax:402-291-6779
Practice Address - Street 1:2112 SAVANNAH DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133-3327
Practice Address - Country:US
Practice Address - Phone:402-292-3628
Practice Address - Fax:402-291-6779
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist